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Repeat Voluntary HIV Counseling and Testing (VCT), Sexual Risk Behavior and HIV Incidence in Rakai, Uganda

We examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VC... Full description

Journal Title: AIDS and behavior 2007-01, Vol.11 (1), p.71-78
Main Author: Matovu, Joseph K B
Other Authors: Gray, Ronald H , Kiwanuka, Noah , Kigozi, Godfrey , Wabwire-Mangen, Fred , Nalugoda, Fred , Serwadda, David , Sewankambo, Nelson K , Wawer, Maria J
Format: Electronic Article Electronic Article
Language: English
Subjects:
Acquired Immune Deficiency Syndrome
Adolescent
Adult
Age Distribution
AIDS Serodiagnosis
Condoms
Counseling
Female
Health Care Services
Health risks
HIV
HIV (Viruses)
HIV Seropositivity - epidemiology
HIV Seroprevalence
Human immunodeficiency virus
Humans
Incidence
Male
Patient Acceptance of Health Care
Prevention
Risk
Risk behavior
Risk reduction
Risk taking
Rural Health
Sex
Sexual Behavior
Sexual partners
Sexually transmitted diseases
STD
Surveys
Time
Uganda
Uganda - epidemiology
Publisher: United States: Springer
ID: ISSN: 1090-7165
Link: https://www.ncbi.nlm.nih.gov/pubmed/17016759
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recordid: cdi_proquest_miscellaneous_68927342
title: Repeat Voluntary HIV Counseling and Testing (VCT), Sexual Risk Behavior and HIV Incidence in Rakai, Uganda
format: Article
creator:
  • Matovu, Joseph K B
  • Gray, Ronald H
  • Kiwanuka, Noah
  • Kigozi, Godfrey
  • Wabwire-Mangen, Fred
  • Nalugoda, Fred
  • Serwadda, David
  • Sewankambo, Nelson K
  • Wawer, Maria J
subjects:
  • Acquired Immune Deficiency Syndrome
  • Adolescent
  • Adult
  • Age Distribution
  • AIDS Serodiagnosis
  • Condoms
  • Counseling
  • Female
  • Health Care Services
  • Health risks
  • HIV
  • HIV (Viruses)
  • HIV Seropositivity - epidemiology
  • HIV Seroprevalence
  • Human immunodeficiency virus
  • Humans
  • Incidence
  • Male
  • Patient Acceptance of Health Care
  • Prevention
  • Risk
  • Risk behavior
  • Risk reduction
  • Risk taking
  • Rural Health
  • Sex
  • Sexual Behavior
  • Sexual partners
  • Sexually transmitted diseases
  • STD
  • Surveys
  • Time
  • Uganda
  • Uganda - epidemiology
ispartof: AIDS and behavior, 2007-01, Vol.11 (1), p.71-78
description: We examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.
language: eng
source:
identifier: ISSN: 1090-7165
fulltext: no_fulltext
issn:
  • 1090-7165
  • 1573-3254
url: Link


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titleRepeat Voluntary HIV Counseling and Testing (VCT), Sexual Risk Behavior and HIV Incidence in Rakai, Uganda
creatorMatovu, Joseph K B ; Gray, Ronald H ; Kiwanuka, Noah ; Kigozi, Godfrey ; Wabwire-Mangen, Fred ; Nalugoda, Fred ; Serwadda, David ; Sewankambo, Nelson K ; Wawer, Maria J
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descriptionWe examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.
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subjectAcquired Immune Deficiency Syndrome ; Adolescent ; Adult ; Age Distribution ; AIDS Serodiagnosis ; Condoms ; Counseling ; Female ; Health Care Services ; Health risks ; HIV ; HIV (Viruses) ; HIV Seropositivity - epidemiology ; HIV Seroprevalence ; Human immunodeficiency virus ; Humans ; Incidence ; Male ; Patient Acceptance of Health Care ; Prevention ; Risk ; Risk behavior ; Risk reduction ; Risk taking ; Rural Health ; Sex ; Sexual Behavior ; Sexual partners ; Sexually transmitted diseases ; STD ; Surveys ; Time ; Uganda ; Uganda - epidemiology
ispartofAIDS and behavior, 2007-01, Vol.11 (1), p.71-78
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3Kigozi, Godfrey
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6Serwadda, David
7Sewankambo, Nelson K
8Wawer, Maria J
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descriptionWe examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.
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4AIDS Serodiagnosis
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20Risk
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titleRepeat Voluntary HIV Counseling and Testing (VCT), Sexual Risk Behavior and HIV Incidence in Rakai, Uganda
authorMatovu, Joseph K B ; Gray, Ronald H ; Kiwanuka, Noah ; Kigozi, Godfrey ; Wabwire-Mangen, Fred ; Nalugoda, Fred ; Serwadda, David ; Sewankambo, Nelson K ; Wawer, Maria J
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1Adolescent
2Adult
3Age Distribution
4AIDS Serodiagnosis
5Condoms
6Counseling
7Female
8Health Care Services
9Health risks
10HIV
11HIV (Viruses)
12HIV Seropositivity - epidemiology
13HIV Seroprevalence
14Human immunodeficiency virus
15Humans
16Incidence
17Male
18Patient Acceptance of Health Care
19Prevention
20Risk
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23Risk taking
24Rural Health
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28Sexually transmitted diseases
29STD
30Surveys
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33Uganda - epidemiology
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abstractWe examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.
copUnited States
pubSpringer
pmid17016759
doi10.1007/s10461-006-9170-y